Organization Active NPI

KHT

Doing business as Josephine's Care Home

  • In Home Supportive Care Agency
  • Ontario, CA
National Provider Identifier
1790377554
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KHT
Doing business as
Josephine's Care Home
Practice address
1566 E Hazeltine St
Ontario, CA 91761-7242
Phone
(562) 469-9005
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
KHTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Lacuesta Santiago
Title
Administrator
Phone
(562) 469-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1566 E Hazeltine St
Ontario, CA 91761-7242

Mailing address

1566 E Hazeltine St
Ontario, CA 91761-7242
Phone (562) 469-9005

Other names 1

  • Josephine's Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KHT2 organizations share this tax ID, including this one
Part of
KHT

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1790377554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 E HAZELTINE ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617242",
            "telephone_number": "562-469-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 E HAZELTINE ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617242",
            "telephone_number": "562-469-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KHT",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LACUESTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-469-9005"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josephine's Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.